Michael J. Bossé

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Although the etiology of chronic pain following trauma is not well understood, numerous retrospective studies have shown that a significant proportion of chronic pain patients have a history of traumatic injury. The present analysis examines the prevalence and early predictors of chronic pain in a cohort of prospectively followed severe lower extremity(More)
Eighty-five legs in forty-four cadavera were dissected to determine the course of the superficial peroneal nerve from its origin to its termination as dorsal cutaneous nerves of the foot. Particular attention was paid to the relationship of the nerve with the intermuscular septum between the anterior and lateral compartments of the leg. In sixty-two (73 per(More)
BACKGROUND Lower-extremity injury severity scoring systems were developed to assist surgeons in decision-making regarding whether to amputate or perform limb salvage after high-energy trauma to the lower extremity. These scoring systems have been shown to not be good predictors of limb amputation or salvage. This study was performed to evaluate the clinical(More)
Our study was designed to compare the effect of indometacin with that of a placebo in reducing the incidence of heterotopic ossification in a prospective, randomised trial. A total of 121 patients with displaced fractures of the acetabulum treated by operation through a Kocher-Langenbeck approach was randomised to receive either indometacin (75 mg)(More)
BACKGROUND Complications associated with iliac crest bone-graft donor sites have been reported. This prospective study was conducted to determine the prevalence of pain and complications at the iliac crest donor site in patients undergoing treatment of fracture nonunion. METHODS Ninety-two patients undergoing anterior iliac crest bone-grafting for(More)
Previous studies have shown that pain, depression, and anxiety are common after trauma. A longitudinal relationship between depression, anxiety, and chronic pain has been hypothesized. Severe lower extremity trauma patients (n = 545) were followed at 3, 6, 12, and 24 months after injury using a visual analog "present pain intensity" scale and the depression(More)
As part of a larger longitudinal study, the current analyses characterize the relationship among pain, psychological distress, and physical function after major lower extremity trauma. Structural equation modeling techniques were utilized to analyze data from a prospective 2-year observational study of 327 patients treated at 8 level I trauma centers. Data(More)
Modern research and curricular reforms equate pedagogical soundness with the connection of instructional content with real-world problems. Software engineers facing real-world computer problems are continually concerned with the efficiency of the program that they write. Divorcing programming concerns from efficiency unsatisfactorily presents the(More)
BACKGROUND Combat-wounded service members are surviving battle injuries more than ever. Given different combat roles held by men and women, female service members should survive wounds at an unprecedented rate. QUESTIONS/PURPOSES We determined whether the casualty rates for females differ from their male counterparts and characterized wounds sustained by(More)
BACKGROUND Variation in referral rates for physical therapy exists at both the individual physician and practice levels. OBJECTIVE The purpose of this study was to explore the influence of physician and practice characteristics on referral for physical therapy in patients with traumatic lower-extremity injury. DESIGN A cross-sectional survey was(More)